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North Dakota rates for HCPCS J1599

Injection, immune globulin, intravenous, nonlyophilized (e.g., liquid), not otherwise specified, 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$143.04 / $143.04 / $143.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.04 / $178.80 / $178.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$156.44 / $156.44 / $179.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.44 / $156.44 / $195.56
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$143.04 / $143.04 / $429.12